Stacey Andersen

Counselor · Pekin, IL

Individual Active NPI

NPI number 1619755618

Practice location

3248 Vandever Ave
Pekin, IL 61554-6274
Phone
(309) 347-5522

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NPI record

NPI
1619755618
Entity type
Individual (Type 1)
Enumeration date
September 20, 2023
Last updated
September 20, 2023
Certified
September 20, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X — —

About Stacey Andersen

Stacey Andersen is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 3248 Vandever Ave, Pekin, IL 61554-6274. The NPI number 1619755618 was assigned on September 20, 2023 and the record was last updated on September 20, 2023.

Frequently asked questions

What is the NPI number of Stacey Andersen?

The NPI number is 1619755618.

What is the phone number of Stacey Andersen?

The phone number listed for the practice location is (309) 347-5522.

Where is Stacey Andersen located?

3248 Vandever Ave, Pekin, IL 61554-6274.

What is the taxonomy code for Stacey Andersen?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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